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Blueprint Winter 2022

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A publication for the policyholders of the Arkansas<br />

Blue Cross and Blue Shield family of companies WINTER <strong>2022</strong><br />

Start Strong in <strong>2022</strong><br />

Blue & You Fitness Challenge<br />

PAGE 7<br />

Mental Health First Aid<br />

in southeast Arkansas<br />

PAGE 4<br />

<strong>2022</strong> Blue & You<br />

Foundation Grants<br />

PAGE 8<br />

Understanding<br />

health disparities<br />

PAGE 10


a<br />

with Curtis Barnett<br />

Our President and Chief Executive Officer<br />

Building toward healthcare innovation<br />

In November, Arkansas Blue Cross<br />

and Blue Shield celebrated the grand<br />

opening of our new Northwest<br />

Arkansas Corporate Center in<br />

Springdale, Arkansas. It was a cold,<br />

rainy day, but just as we prepared to<br />

cut the ribbon, the sun started to shine.<br />

We were heartened to see so many of<br />

our friends and neighbors come out to<br />

join us and tour our new facility.<br />

Northwest Arkansas is the fastest<br />

growing area of our state. Our<br />

membership has grown substantially<br />

during the past few decades and as<br />

communities continue to expand there,<br />

we are looking forward to continuing<br />

to grow our presence in this region to<br />

meet needs close to home.<br />

Eventually, we will have about 300<br />

employees working in the new<br />

corporate center, representing a<br />

cross-section of our company’s<br />

overall operations. Arkansas<br />

2 WINTER <strong>2022</strong><br />

Blue Cross has had a presence in<br />

Northwest Arkansas for more than<br />

five decades and in 1994, grew<br />

our presence in Fayetteville by<br />

opening a full-service regional office<br />

providing customer service, medical<br />

management, provider relations and<br />

much more. And for many years,<br />

we have had a presence with our<br />

ArkansasBlue welcome centers, now<br />

located in Fayetteville and Rogers.<br />

But this commitment is not just about<br />

how we can do more in this region.<br />

It’s also about how we can do better<br />

overall for the overall health of our<br />

members and our state.<br />

We recognize that healthcare<br />

faces many challenges and that<br />

today’s solutions aren’t going to fix<br />

tomorrow’s problems. Innovation<br />

is drastically needed in healthcare<br />

delivery, technology, and business<br />

models. Northwest Arkansas has an<br />

incredible track record for innovation<br />

and accomplishment. This region<br />

has committed to innovating and<br />

developing into a major medical,<br />

health and wellness corridor, and<br />

we’re excited to play an integral role<br />

in that development.<br />

That said, we also recognize that<br />

healthcare innovation must be<br />

inclusive and accessible. The<br />

COVID-19 pandemic made clear that<br />

unless we address issues like health<br />

equity and access to behavioral<br />

health, we will never improve the<br />

whole health of all Arkansans.<br />

We consider it a privilege to serve so<br />

many Arkansans as their insurance<br />

company. Our mission will always<br />

be to improve the health, financial<br />

security and peace of mind of the<br />

members and communities we<br />

serve. Whether you live in Northwest<br />

Arkansas or anywhere else in our<br />

state, we are here for you.


Arkansas Blue Cross<br />

Opens New NWA<br />

Corporate Center<br />

With the quick snap of an evergreen garland,<br />

Northwest Arkansas dignitaries on November 3 helped<br />

Arkansas Blue Cross and Blue Shield celebrate the official<br />

opening of its new Northwest Arkansas Corporate Center<br />

in Springdale, marking a significant increase in our<br />

commitment to the region and its people.<br />

“This is an important milestone in our presence in<br />

Northwest Arkansas, which stretches back to the mid-<br />

1960s,” said Curtis Barnett, president and chief executive<br />

officer of Arkansas Blue Cross. “This part of our state<br />

has grown immensely in the past 55 years, and we are<br />

investing heavily in its future to help ensure it remains a<br />

vibrant, growing and healthy community.”<br />

Arkansas Blue Cross in Northwest Arkansas<br />

Arkansas Blue Cross has a large customer base in<br />

Northwest Arkansas that includes in-state individual<br />

and group policyholders and national accounts. We will<br />

maintain our corporate headquarters in Little Rock and<br />

continue to operate regional offices and ArkansasBlue<br />

welcome centers in Fayetteville, Fort Smith, Hot Springs,<br />

Jonesboro, Little Rock, Pine Bluff, Rogers and Texarkana.<br />

About Arkansas Blue Cross’ Northwest<br />

Arkansas Corporate Center<br />

The design of the Arkansas Blue Cross Northwest<br />

Arkansas Corporate Center can accommodate about<br />

300 employees. Architecturally, it incorporates many<br />

workplace best practices observed in the headquarters<br />

of leading organizations around the world.<br />

The building’s progressive features include:<br />

• Exterior glass “curtain walls” bringing in natural light<br />

and great views<br />

• A scenic outdoor space and pavilion area available<br />

to employees and nonprofit community groups for<br />

special events and employee gatherings<br />

• An Innovation Lab dedicated to finding solutions for<br />

more efficient and effective processes and health plans<br />

• Highly functional and flexible floor plans using<br />

moveable walls<br />

• High-tech meeting and presentation areas – including<br />

a large community room on the ground floor for use<br />

by nonprofit community groups, depending on<br />

availability.<br />

• Amenity-filled break areas<br />

• “Hoteling” workstations for visiting staff, clients<br />

and vendors<br />

A few noteworthy environment-conscious features include:<br />

• High-performance exterior glass that limits<br />

solar heat penetration<br />

• Low-VOC (volatile organic compounds)<br />

paints and coatings<br />

• Regionally sourced exterior stone, cut on site<br />

• Native, drought-tolerant landscaping<br />

• Automated, daylight-sensing, LED lighting<br />

• Interior finishes that contain recycled content<br />

• Automated, energy-efficient mechanical systems<br />

WINTER <strong>2022</strong> 3


First aid for the mind<br />

Blue & You Foundation grant targets mental health in southeast Arkansas<br />

Five years ago, Mellie Bridewell,<br />

president and CEO of the Arkansas<br />

Rural Health Partnership (ARHP),<br />

received what amounted to a cry<br />

for help. Medical professionals<br />

across the southeastern corner of<br />

Arkansas recognized the need to<br />

address mental health issues in<br />

their communities and reached out<br />

to Mellie and the ARHP.<br />

“We started hearing in 2016 that<br />

the hospitals wanted us to address<br />

mental health issues,” said Mellie.<br />

“So, we started moving in that<br />

direction.”<br />

With a shortage of mental health<br />

professionals in that part of<br />

the state, many people with<br />

mental health needs were going<br />

undiagnosed or waiting for long<br />

periods for adequate treatment –<br />

sometimes with catastrophic results.<br />

“If you come into the emergency<br />

room with chest pains, physicians<br />

can hook you up to a machine and<br />

diagnose you fairly quickly,” said<br />

Amanda Kuttenkuler, ARHP’s Mental<br />

Health Initiatives program director.<br />

“But with mental health issues,<br />

we don’t always know what to do.<br />

Even physicians were asking for<br />

resources.”<br />

But, while increasing the number<br />

of mental health professionals in<br />

south Arkansas is the ideal solution<br />

4 WINTER <strong>2022</strong><br />

to the problem, it just wasn’t<br />

realistic in the short term.<br />

“We asked ourselves, what can we<br />

do right now, without mental health<br />

professionals in place?” said Mellie.<br />

“What are some best practices that<br />

we can implement right now?”<br />

The answer: Mental Health First Aid.<br />

“Mental health first aid was the<br />

thing that was most affordable,”<br />

said Mellie. “The thing that would<br />

have an immediate impact.”<br />

Mental health first aid trains people to<br />

be first responders to mental health<br />

issues. Training in mental health<br />

first aid teaches people to identify,<br />

understand and respond to signs of<br />

mental illness and substance use<br />

disorders. The training provides the<br />

skills necessary to provide initial<br />

support to someone who may<br />

be developing a mental health or<br />

substance use problem and help<br />

connect them to the appropriate care.<br />

To get the ball rolling, Mellie<br />

applied for a $115,000 grant from<br />

the Blue & You Foundation for a<br />

Healthier Arkansas to launch youth<br />

mental health first aid training<br />

throughout southern Arkansas.<br />

The grant was approved.<br />

“The foundation had previously<br />

funded a grant to promote<br />

mental health first aid within<br />

the organization requesting the<br />

funding,” said Rebecca Pittillo,<br />

executive director of the Blue & You<br />

Foundation. “But this grant was<br />

unique because ARHP was taking<br />

the training to school districts<br />

within the state and impacting many<br />

communities quickly. We understood<br />

the great need for mental health<br />

awareness and were pleased to have<br />

the opportunity to fund this effort.”<br />

The ARHP began a series of training<br />

sessions to equip teachers and<br />

healthcare professionals in mental<br />

health first aid. ARHP serves 18<br />

school districts and 14 hospitals<br />

in the southeastern corner of<br />

Arkansas. In one year’s time – from<br />

June 2020 through July 2021 –<br />

they were able to train 537 people<br />

in mental health first aid. And the<br />

effort has already shown results.<br />

“We have had some teachers tell<br />

us they’ve had students in class<br />

exhibiting troubling behavior. And,<br />

because of this training, they were<br />

able to recognize those students<br />

were in crisis and were able to get<br />

them help,” said Amanda. “Others<br />

have been able to identify issues in<br />

their classrooms and resolve them<br />

before they escalated.”<br />

According to the National Institute<br />

of Mental Health, approximately<br />

1 in 5 adults in the United States<br />

lives with a mental illness.


“Most organizations are<br />

reactive when it comes to<br />

mental health,” said Amanda.<br />

“Something happens. We rush<br />

in and ask, ‘What do we do<br />

now?’ This mental health first<br />

aid training empowers people to<br />

be proactive. To see problems<br />

ahead of time and get people the<br />

help they need on the front end.”<br />

“The best part of our relationship<br />

with the Blue & You Foundation<br />

is being able to pivot when we<br />

need to,” said Amanda. “The<br />

flexibility to adjust our plans<br />

when necessary is essential.”<br />

Mellie agreed. “It’s great the<br />

foundation can provide funding,<br />

but they have their thumb on the<br />

pulse of communities,” she said.<br />

“They know what’s going on. You<br />

can call them and ask, ‘What do<br />

you think we need to do here?’<br />

It’s more of a partnership.”<br />

Already the results have<br />

been impressive.<br />

“The Blue & You Foundation<br />

couldn’t be more pleased with<br />

the results of this grant and the<br />

changes that are taking place<br />

because of ARHP’s vision of<br />

mental health first aid across<br />

southeast Arkansas,” said<br />

Rebecca.<br />

Not only have there been actual<br />

cases of people getting the help<br />

they needed when they needed<br />

it, but Mellie points out the<br />

stigma that comes with mental<br />

health issues is beginning to be<br />

erased. “This program helps do<br />

that,” she said.<br />

“It helps heal, too,” said Amanda.<br />

“I’m satisfied with how well this<br />

is working. But there is so much<br />

more to do.”<br />

Thanks to a new grant from the<br />

Blue & You Foundation for the<br />

new Mental Health Community<br />

Expansion Project, they can<br />

begin doing more.<br />

“We are even more pleased<br />

that they will be expanding this<br />

work in <strong>2022</strong> to reach at least<br />

26,800 youth with much-needed<br />

mental and behavioral health<br />

interventions,” said Rebecca.<br />

The new project will increase<br />

access to mental and behavioral<br />

health resources and services<br />

for youth ages 12-18. It will<br />

expand the availability of youth<br />

mental health first aid, launch<br />

mental health awareness and<br />

suicide prevention training and<br />

will train at least 5,200 people to<br />

reach 25,800 youth with needed<br />

mental and behavioral health<br />

interventions.<br />

Said Rebecca, “The Mental<br />

Health Community Expansion<br />

Project is one of 41 grants<br />

awarded by the foundation in<br />

<strong>2022</strong> and one of eight grants<br />

that focus specifically on<br />

behavioral health.”<br />

Mellie Bridewell<br />

(seated) visits<br />

with Amanda<br />

Kuttenkuler about<br />

the program.<br />

Headquarters:<br />

Lake Village, AR<br />

Mission:<br />

To create and implement<br />

sustainable community solutions<br />

to improve the healthcare<br />

infrastructure and strengthen<br />

healthcare delivery<br />

in south Arkansas.<br />

Vision:<br />

To ensure everyone has access<br />

to quality and localized healthcare<br />

throughout south Arkansas<br />

through collaborative efforts.<br />

What we believe:<br />

We believe that residents across<br />

south Arkansas should not live<br />

shorter or poorer quality lives largely<br />

because they live in a rural setting.<br />

We envision a future where all south<br />

Arkansas residents can enjoy access<br />

to excellent healthcare providers and<br />

experience quality health outcomes<br />

no matter their socioeconomic<br />

background, gender, ethnicity and<br />

where they choose to live and work.<br />

WINTER <strong>2022</strong> 5


High prescription<br />

prices almost<br />

ended Bob’s life<br />

Learn how Arkansas<br />

Blue Cross found ways<br />

to cover his costs<br />

Bob * was tired of fighting. He had been<br />

struggling with hepatitis C and could not<br />

afford a $6,500 copayment each month for<br />

his treatment. He was ready to give up but<br />

feared leaving his teenage daughter behind.<br />

As a single parent, his resources were limited.<br />

He didn’t know where to go or who to turn to for help.<br />

“I had decided to accept it,” he said. “I had already failed<br />

several other attempts at fighting this, and nothing ever<br />

worked. I realized that this was it; this was my life. You<br />

never know when your end is going to be. I began to<br />

accept it. I talked to my daughter about it. She just broke<br />

down and said, ‘you cannot leave me now. You’ve got to<br />

try at least everything you can.’”<br />

Bob, a BlueAdvantage Administrators of Arkansas member<br />

was approved for hepatitis C medication. However, the<br />

$6,500 monthly copayment was impossible for him to pay,<br />

as it would be for most people.<br />

Bob’s case manager, Pamela Martin, R.N., reached out to<br />

the drug manufacturer and told them about his financial<br />

situation. They provided a discount card and lowered his<br />

out-of-pocket cost to $1,000 a month.<br />

Although Bob was ecstatic to get the discount card,<br />

$1,000 a month for treatment was still a lot of money,<br />

and he could barely come up with $400 toward his next<br />

month’s treatment. Unfortunately, to his surprise, the<br />

second month’s medication’s discount was even less.<br />

The third month’s medication discount was virtually<br />

nothing. Bob didn’t know the limit on the discount card<br />

and said he would have to make other arrangements.<br />

Pamela’s concern for Bob grew as she learned of his<br />

exhausted resources. She was determined to find a<br />

way to help him.<br />

She reached out to Arkansas Blue Cross and Blue<br />

Shield’s Pharmacy department. Maria Pipkin Eason,<br />

a manager, and Karen Bragg, a supervisor, worked<br />

From left: Pamela Martin, Karen Bragg and Maria Pipkin Eason<br />

with pharmacy vendor Caremark to locate additional<br />

funding for Bob. They were able to identify a copayment<br />

assistance foundation that gave Bob a grant to pay for<br />

the remainder of his hepatitis C medication, along with<br />

the additional treatment prescribed by his doctor.<br />

Pamela called Bob with the good news, and he asked her<br />

to hug everyone involved! So far, Bob has been getting<br />

better results than he’s ever had with any other treatment.<br />

Struggling with prescription costs?<br />

“I want every member to know that Arkansas Blue Cross is<br />

more than just an insurance company,” Pamela said. “We care<br />

enough to go the extra step to find resources and funding.”<br />

Prescription coverage can be hard to understand. Pamela<br />

built a relationship with Bob to communicate with him at<br />

every step of the process.<br />

“Case managers are the link between our members<br />

and their healthcare providers,” Pamela said. “Having<br />

someone as an advocate who has access to pharmacies,<br />

pharmacists and education equips our members with<br />

knowledge and resources.”<br />

Bob knows the significance of the coordination and<br />

assistance he received from the Arkansas Blue Cross team.<br />

“I’d like to thank my support group of Arkansas Blue<br />

Cross. Y’all helped save my life,” said Bob.<br />

If you need help paying for your prescription medications,<br />

call the number on the back of your member ID card<br />

and talk with one of our friendly customer service<br />

representatives. We will do what we can to help.<br />

6 WINTER <strong>2022</strong><br />

*<br />

Not his real name.


Start<br />

Strong<br />

<strong>2022</strong> Blue & You Fitness Challenge<br />

is a great way to begin the year<br />

What is the Blue & You Fitness Challenge?<br />

The Blue & You Fitness Challenge is a free annual fitness competition<br />

held from March 1 through May 31. By logging your activity, you can earn<br />

contest recognition and rewards. Companies and organizations throughout<br />

the country participate in the Challenge as part of their wellness programs.<br />

You can form a team (two or more people) with your family and friends! Use<br />

the contest to focus on fitness goals, infuse new energy into your exercise<br />

routines, remain connected and have fun!<br />

Last year, the Blue & You Fitness Challenge experienced a complete<br />

makeover to create a new and improved user experience! We teamed up<br />

with Wellable, an interactive health-and-wellness platform, to easily track<br />

activity and measure standings. Our new platform includes:<br />

Ability to sync with wearables, like an Apple Watch or FitBit<br />

Size categories limited to small, medium and large (based on a team’s<br />

estimated number of participants, not the size of the company)<br />

Automated support from Wellable, in the form of reminders,<br />

troubleshooting and team maintenance<br />

Mobile app (for Apple & Android)<br />

Ability to earn additional points for engaging in healthy behaviors,<br />

like drinking eight glasses of water per day, sleeping 7 hours a night,<br />

meditating, etc.<br />

Ability to view team standings in real-time<br />

DEADLINES:<br />

January 24, <strong>2022</strong><br />

deadline for group registration<br />

March 1<br />

Challenge begins<br />

May 31<br />

Challenge ends<br />

For more<br />

information, call<br />

800-686-2609<br />

or use the QR code<br />

to register.<br />

<strong>2022</strong> is going to be a great year for the Fitness Challenge!<br />

Strong starts here!<br />

Register for the Blue & You Fitness Challenge at<br />

form.jotform.com/bluecares/<strong>2022</strong>-byfc<br />

The Blue & You Fitness Challenge, founded in 2004, is hosted by Arkansas Blue Cross and Blue<br />

Shield, the Arkansas Department of Health and the Arkansas Department of Human Services.<br />

WINTER <strong>2022</strong> 7


Blue & You Foundation awards more than<br />

$<br />

3.36 million in grants to improve health<br />

In November, the Blue & You Foundation for a Healthier Arkansas announced 41 initiatives<br />

receiving grants totaling $3,360,327, that will directly impact 71 of Arkansas’ 75 counties.<br />

The Blue & You Foundation is a charitable foundation established and funded by Arkansas<br />

Blue Cross and Blue Shield to promote better health in the Natural State.<br />

“Eleven of our grants this year focus on education for medical professionals and eight grants address behavioral<br />

health, issues that are extremely important to the health of all Arkansans,” said Rebecca Pittillo, executive director of<br />

the Blue & You Foundation. “Ten of our grants will reach Arkansans statewide. And because we are very aware of the<br />

need for more health equity within our state, eight of our grants focus specifically on minority populations.”<br />

Since 2001, the Blue & You Foundation has awarded more than $45 million to nonprofits and governmental agencies in<br />

all 75 counties. Applications for the next round of large grants will be accepted April 15 through July 15, <strong>2022</strong>. Grants<br />

will range from $5,000 to $150,000. Blue & You Foundation training sessions for grant writing will be offered in March<br />

<strong>2022</strong>. For more information on trainings and the Blue & You grant process, visit blueandyoufoundationarkansas.org.<br />

The <strong>2022</strong> grant recipients are:<br />

ARKANSAS CHILDREN’S FOUNDATION, Little Rock<br />

($150,000) – to reduce infant mortality by educating parents<br />

on safety risks.<br />

ARKANSAS FOODBANK, Little Rock ($89,908) – to help<br />

community members become more food secure by educating<br />

them on healthy eating, becoming self-sufficient and by<br />

providing support.<br />

ARKANSAS HARM REDUCTION PROJECT, Little Rock<br />

($143,300) – to prevent opioid overdoses and deaths by<br />

distributing Naloxone to those battling addiction, their<br />

families and others in the community.<br />

ARKANSAS RURAL HEALTH PARTNERSHIP, Lake Village<br />

($150,000) – to increase mental health resources for 12- to<br />

18-year-olds living in rural parts of the state. At least 5,200<br />

people will be trained to provide mental health and suicide<br />

prevention assistance.<br />

ARKANSAS STATE UNIVERSITY SYSTEM FOUNDATION,<br />

Jonesboro ($128,720) – to provide mentoring, cohort building<br />

and financial assistance to underrepresented minority<br />

students in premedical curriculum.<br />

ARKANSAS STEM COALITION, Little Rock ($51,758) –<br />

to educate eighth-grade students on health science careers.<br />

ARKANSAS SYMPHONY ORCHESTRA, Little Rock ($5,000)<br />

– to provide music engagement for patients at Arkansas<br />

Children’s Hospital.<br />

ARKANSAS TECH UNIVERSITY FOUNDATION, Russellville<br />

($68,549) – to install pediatric simulation equipment in the<br />

Arkansas Tech University/Ozark Campus Simulation Lab.<br />

ASHDOWN COMMUNITY FOUNDATION, INC., Ashdown ($150,000)<br />

– to construct the Ashdown City Park Inclusive Playground.<br />

BAPTIST HEALTH FOUNDATION, Little Rock ($115,000)<br />

– to begin a Patient Care Tech Program at the Baptist Health<br />

College in Little Rock.<br />

BLACK RIVER TECHNICAL COLLEGE, Pocahontas ($149,483)<br />

– to construct a one-and-a-half mile walking trail connecting<br />

the campus.<br />

CHERRY VALLEY FOOD PANTRY, Cherry Valley ($5,000)<br />

– to purchase food for 70 to 80 families each week.<br />

CITY OF COTTER, Cotter ($31,224) – to establish the Cotter Warrior<br />

Park Family Health Fit Zone, providing outdoor equipment for<br />

children and teens and therapeutic and fitness classes for all ages.<br />

CITY OF HAMPTON, Hampton ($6,000) – to purchase playground<br />

equipment for children in the city of Hampton and Calhoun County.<br />

CITY OF LITTLE ROCK, Little Rock ($150,000) – to create a<br />

behavioral health initiative at Watson Elementary and enhance<br />

behavioral health outreach to families in four community schools.<br />

DONALD W. REYNOLDS CANCER SUPPORT HOUSE,<br />

Fort Smith ($5,000) – to ease transportation barriers for<br />

disadvantaged cancer patients needing treatment.<br />

GARLAND COUNTY IMAGINATION LIBRARY, Mount Ida ($8,000)<br />

– to purchase a book each month for 320 children up to 5 years old.<br />

GIRL SCOUTS – Diamonds, Little Rock ($11,340) – to create<br />

a STEM program within Girl Scouts, to encourage careers<br />

improving the health of people in their communities.<br />

GOODWILL INDUSTRIES OF ARKANSAS, Little Rock ($25,000)<br />

– to provide training for 30 students seeking Clinical Medical<br />

Assistant certification.<br />

HISPANIC COMMUNITY SERVICES INC., Jonesboro ($39,633)<br />

– to offer bilingual classes and host discussions on a variety of<br />

mental health topics and wrap-around services.<br />

IMMERSE ARKANSAS, Little Rock ($50,000) – to provide<br />

recreational therapy to about 200 youth in or emerging from<br />

the foster care system, funding equipment, activities and staff.<br />

IVY CENTER FOR EDUCATION, Pine Bluff ($35,384) –<br />

to increase the number of qualified African American males<br />

in medical doctor programs by exposing them to the medical<br />

sciences before they enter college.<br />

8 WINTER <strong>2022</strong>


JEFFERSON REGIONAL MEDICAL CENTER, Pine Bluff<br />

($149,201) – to replace simulation equipment used to<br />

train healthcare workers at Jefferson School of Nursing.<br />

JEFFERSON REGIONAL MEDICAL CENTER FOUNDATION,<br />

Pine Bluff ($150,000) – for a cancer screening program<br />

for an underserved population to reduce cancer deaths in<br />

Southeast Arkansas using synergistic relationships and<br />

resources.<br />

LITTLE ROCK SCHOOL DISTRICT, Little Rock ($8,250)<br />

– to establish a school garden at Mann Magnet Middle<br />

School which will educate students on the benefits of<br />

nutritious foods.<br />

NEIGHBOR TO NEIGHBOR, Pine Bluff ($36,000)<br />

– to purchase a walk-in freezer for its food pantry.<br />

NORTH ARKANSAS COLLEGE, Harrison ($149,554)<br />

– to purchase obstetric simulation equipment and cardiac<br />

monitor/defibrillator training for EMTs and paramedics.<br />

NORTHWEST ARKANSAS CRISIS INTERVENTION CENTER,<br />

Springdale ($5,000) – to purchase a text messaging<br />

service to serve as a crisis line for those in behavioral<br />

health emergencies.<br />

NORTHWEST ARKANSAS WOMEN’S SHELTER,<br />

Rogers ($25,000) – to purchase food for the shelter’s<br />

food pantry and provide pantry start-up kits for shelter<br />

residents moving into their own homes.<br />

OUACHITA BAPTIST UNIVERSITY, Arkadelphia<br />

($131,000) – to develop a skills laboratory and<br />

simulation center at Ouachita Baptist University<br />

for its nursing program.<br />

OZARK MISSION PROJECT, Little Rock ($25,000)<br />

– to construct wheelchair ramps, porches and stairs<br />

for low-income, veteran and disabled residents.<br />

PANGBURN PUBLIC SCHOOLS, Pangburn ($38,334)<br />

– to construct three playgrounds for elementary students.<br />

RONALD MCDONALD HOUSE, Little Rock ($62,450)<br />

– to provide meals for families staying at the Ronald<br />

McDonald House with a critically ill child.<br />

SHARE FOUNDATION, El Dorado ($150,000)<br />

– to expand palliative care services in Union, Ouachita,<br />

Calhoun, Columbia and Bradley counties.<br />

SOUTHERN ARKANSAS UNIVERSITY TECH, East<br />

Camden ($148,758) – to provide phlebotomy and<br />

pharmacy tech training to underrepresented, minority<br />

and marginalized persons in the Delta Region.<br />

UNION RESCUE MISSION, Little Rock ($147,200)<br />

– to provide temporary housing and mental health<br />

support for shelter residents as they transition out<br />

of Nehemiah House and Dorcas House.<br />

UNITED WAY OF NORTHWEST ARKANSAS, INC.,<br />

Lowell ($56,400) – to expand the Arkansas 211 program,<br />

allowing Latinx populations to receive linguistically<br />

appropriate information on food assistance, behavioral<br />

health services and other community programs.<br />

UNIVERSITY OF ARKANSAS AT MONTICELLO,<br />

Monticello ($150,000) – to upgrade the newborn, infant,<br />

adult and geriatric manikins to train nursing students.<br />

UNIVERSITY OF ARKANSAS FORT SMITH FOUNDATION,<br />

Fort Smith ($150,000) – to replace outdated equipment<br />

at the UAFS Dental Hygiene Clinic.<br />

UNIVERSITY OF ARKANSAS FOUNDATION, INC., (UAMS),<br />

Little Rock ($62,000) – to create a behavioral health<br />

integration training curriculum for social workers,<br />

psychologists and other mental health professionals at<br />

19 UAMS primary care clinics.<br />

UNIVERSITY OF ARKANSAS FOUNDATION, INC., (UAMS),<br />

Little Rock ($147,791) – to train 18 family medicine<br />

residencies in Medication for Opioid Use Disorder (MOUD),<br />

making it more widely available for underserved populations.<br />

Grants Impacting Arkansas<br />

Number of grants<br />

impacting county<br />

7-10<br />

4-6<br />

1-3<br />

0<br />

WINTER <strong>2022</strong> 9


Understanding<br />

health disparities<br />

to chart a course for a<br />

healthier tomorrow<br />

by Creshelle R. Nash, M.D., MPH<br />

Medical Director for Health Equity and Public Programs<br />

As we look back on 2021, we reflect on our<br />

experiences of the past 12 months and look<br />

ahead to what the new year may bring. When<br />

we did this last year, most of us reflected on the<br />

trauma and disruption brought by the COVID-19 pandemic,<br />

financial uncertainty and social unrest. We sat with the<br />

pain of loss, the loneliness of isolation and yet held hope<br />

for a stronger, healthier year ahead. It’s heartening to<br />

see that, for many, 2021 turned out to be a brighter year<br />

than 2020. However, the persistently poor experiences<br />

of minority communities reinforce the need to address<br />

health equity and disparities that disproportionately<br />

affect those with the fewest resources to overcome them.<br />

Many Americans will face <strong>2022</strong> in positions of greater<br />

uncertainty and will need greater support. Beyond the<br />

ongoing risks of the COVID-19 virus, a secondary crisis<br />

– behavioral health – has emerged from untreated<br />

health issues. Communities of color and low-income<br />

populations are being hit the hardest and at greater<br />

rates, further exacerbating disparities and inequities<br />

in our nation.<br />

Behavioral health issues have been on the rise in<br />

America for some time. Yet the past 18 months has<br />

brought to light a crisis of mental health and substance<br />

use that is putting the lives of millions of Americans<br />

at risk. One of the most striking issues is the dramatic<br />

increase of fatal drug overdoses. According to the<br />

Centers for Disease Control and Prevention (CDC), drug<br />

overdose deaths increased 30.8% nationwide between<br />

March 2020 and March 2021. 1<br />

While this crisis is one hitting communities across the<br />

nation, some populations experience even greater risk.<br />

States with lower income and lower access to resources<br />

experienced far greater overdose deaths, including a<br />

57% increase in Kentucky and a 62% increase in West<br />

Virginia. Moreover, communities of color experience the<br />

risk at greater levels. Research released in November<br />

2021 by the National Institute on Drug Abuse found that<br />

the overdose rate among Black people alone increased<br />

by 38% from 2018 to 2019. While researchers continue<br />

to explore the disparity among Black Americans, many<br />

anticipate the variation to continue or even worsen<br />

unless there is coordinated and intentional action.<br />

10 WINTER <strong>2022</strong>


We can not truly be healthy until<br />

we acknowledge the disparities<br />

and find ways to take collective<br />

action to overcome inequity.<br />

-- Creshelle R. Nash, M.D., MPH<br />

Medical Director for Health Equity and Public Programs<br />

Another stark disparity can be found in rates of suicide,<br />

which recent CDC data show have dropped overall in<br />

the United States, yet increased for American Indians<br />

and Alaska Natives, Black Americans and Hispanic<br />

Americans. 2 Yet another is maternal health, where<br />

Black women are three times more likely to die from<br />

a pregnancy-related cause than White women, again<br />

based on CDC data. 3<br />

As we welcome a new year with renewed hope for a<br />

brighter, healthier future, it is important that, no matter<br />

our background and personal circumstances, we<br />

acknowledge that our experience with health can differ<br />

greatly based on our race, ethnicity, geography and<br />

other factors. We will continue to strive for personal<br />

health, and that of our community, yet we can not truly<br />

be healthy until we acknowledge the disparities and find<br />

ways to take collective action to overcome inequity.<br />

Awareness is the first step, and now, with the crisis<br />

we have faced since the pandemic began, there is<br />

opportunity for meaningful system-level change which<br />

can only be done by working with local partners and<br />

diverse organizations. In my own state of Arkansas, I see<br />

collaboration leading to action. From trauma intervention<br />

in schools, to increased resources for addiction and<br />

suicide prevention, to academic partners increasing<br />

access to care professionals in rural and minority<br />

communities. Through collective action and engagement,<br />

I believe we can achieve a healthier future for all.<br />

COVID-19 Updates<br />

To find out the latest news on the COVID-19<br />

pandemic, go to Vaccinate the Natural State<br />

(vaccinatethenaturalstate.com) and our<br />

<strong>Blueprint</strong> news hub (hub.arkansasbluecross.com).<br />

1<br />

cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm<br />

2<br />

nbcnews.com/health/mental-health/suicide-rates-declined-2020-not-groups-cdc-report-shows-rcna4363<br />

3<br />

cdc.gov/healthequity/features/maternal-mortality/index.html<br />

WINTER <strong>2022</strong> 11


PRESS &<br />

PAY<br />

ArkansasBlue welcome<br />

center kiosks make it<br />

easy to settle your bill<br />

W<br />

hether you like using a card,<br />

check or cash, or whether your<br />

native language is English, Spanish,<br />

Marshallese or Vietnamese,<br />

Arkansas Blue Cross and Blue Shield<br />

is working to eliminate barriers for<br />

our members in our ArkansasBlue<br />

welcome centers.<br />

Several years ago, iPad payment<br />

kiosks were installed at our welcome<br />

centers, where members could pay<br />

by card or check. As technology<br />

evolved, other options became<br />

available for secure card, check<br />

and cash payments. The journey to<br />

finding a new solution for Arkansas<br />

Blue Cross members started with<br />

Jeremy Brown, manager of Regional<br />

Retail Sales and Operations for the<br />

South Central Region.<br />

“I’m inquisitive by nature,” Jeremy<br />

said. “I try to view things through the<br />

eyes of the customer, so I often ask<br />

how we can improve our members’<br />

experiences. When I pay my bills,<br />

I want the process to be painless, so<br />

we should make our members’ billpaying<br />

experience easy as well.”<br />

Arkansas Blue Cross found a<br />

solution that could accept and<br />

process all forms of payment —<br />

quickly and securely. Customers<br />

can swipe a card, scan a check or<br />

pay by cash, eliminating barriers for<br />

members who may not have a card or<br />

check option. And the kiosks provide<br />

instructions in four languages.<br />

By automating these procedures,<br />

payments are processed faster, and<br />

members’ accounts are credited<br />

more quickly. Most members can<br />

also set up autopayments, pay online<br />

through our website, use the My<br />

<strong>Blueprint</strong> app, pay by telephone or<br />

send their payments using a check or<br />

money order through the mail.<br />

“Our members need payment options<br />

so they can pay their bills and<br />

avoid their coverage lapsing,” said<br />

Vicki Greer, manager of Financial<br />

Information Systems. “If a member’s<br />

coverage lapses, they may have<br />

to wait until the next year’s open<br />

enrollment. That can be devastating.”<br />

The upgraded kiosks were installed<br />

in 2020 when the welcome centers<br />

were closed, due to COVID-19 safety<br />

precautions. Members dropped<br />

payments in a mailbox outside the<br />

stores, and employees used the<br />

kiosks to process the payments.<br />

The innovation isn’t stopping there,<br />

however. Members will soon see<br />

QR codes on their invoices.<br />

Scanning the QR code at a payment<br />

kiosk will automatically bring up<br />

the member’s information,<br />

speeding up the transaction.<br />

“We’ll continue to find customercentric<br />

solutions,” Jeremy said.<br />

“We want our members to know<br />

at every step that they are valued<br />

and our company’s philosophy,<br />

operations and ideas keep our<br />

fellow Arkansans in mind.”<br />

12 WINTER <strong>2022</strong>


New provider directory helps<br />

you find care, no matter where<br />

The doctor is in … and so are treatment cost estimates and more!<br />

You want to find the best healthcare for your family, but you also want to<br />

know how much that care may cost. Thanks to our updated Find Care and<br />

Costs tool, you can search for in-network doctors anywhere in the United<br />

States and get estimates for more than 1,600 medical treatments.<br />

If you are an Arkansas Blue Cross and Blue Shield, Health Advantage or<br />

BlueAdvantage Administrators of Arkansas member (not on a Medicare<br />

plan), you can also see a treatment timeline based on historical claims<br />

data for other members in a similar health plan. Treatment timelines<br />

provide general estimates and time frames for multi-stage procedures<br />

such as hip or knee replacements.<br />

You can also use the new tool to add frequently seen providers to your<br />

“favorites” list to find them easily in the future.<br />

Want to know more about a doctor or other medical provider? You can read<br />

provider reviews from other Blue members, whether you are a member or<br />

not. Our members can also write reviews in My <strong>Blueprint</strong> for providers they<br />

have seen throughout the United States. If you live in Arkansas, you can also<br />

use the tool to select a primary care provider.<br />

You can start using the new provider directory by going to one of our<br />

websites or by using the My <strong>Blueprint</strong> mobile app.<br />

More improvements are coming!<br />

1<br />

Cost estimates are only available through My <strong>Blueprint</strong> and for medical plans for<br />

members under age 65 (Medicare Advantage, Medicare supplement, dental and<br />

vision plans are excluded).<br />

WINTER <strong>2022</strong> 13


Your rights and protections<br />

against surprise medical bills<br />

Life is full of surprises. Some are good. Others ... not so much.<br />

When it comes to healthcare costs, you have rights that<br />

protect you from surprise billing, which also is known as<br />

“balance billing.”<br />

What is “balance billing” (sometimes called<br />

“surprise billing”)?<br />

When you see a doctor or other healthcare provider,<br />

you may owe certain out-of-pocket costs, such as a<br />

copayment, coinsurance and/or a deductible. You may<br />

have other costs or have to pay the entire bill if you see<br />

a provider or visit a healthcare facility that isn’t in your<br />

health plan’s network.<br />

“Out-of-network” describes providers and facilities that<br />

haven’t signed a contract with your health plan. Out-ofnetwork<br />

providers may be permitted to bill you for the<br />

difference between what your plan agreed to pay and the<br />

full amount charged for a service. This is called “balance<br />

billing.” This amount often is more than in-network costs<br />

for the same service and might not count toward your<br />

annual out-of-pocket limit.<br />

“Surprise billing” is an unexpected balance bill. This<br />

can happen when you can’t control who is involved in<br />

your care – like when you have an emergency or when<br />

you schedule a visit at an in-network facility but are<br />

unexpectedly treated by an out-of-network provider.<br />

You are protected from balance billing for:<br />

• Emergency services – If you have an emergency medical<br />

condition and get emergency services from an out-ofnetwork<br />

provider or facility, the most the provider or<br />

facility may bill you is your plan’s in-network cost-sharing<br />

amount (such as copayments and coinsurance). You<br />

can’t be balance billed for these emergency services.<br />

This includes services you may get after you’re in stable<br />

condition, unless you give written consent and give up<br />

your protections not to be balanced billed for these poststabilization<br />

services.<br />

• Certain services at an in-network hospital or ambulatory<br />

surgical center – Services provided at an in-network<br />

hospital or ambulatory surgical center for emergency<br />

medicine, anesthesia, pathology, radiology, laboratory,<br />

neonatology and services by assistant surgeons,<br />

hospitalists and intensivists cannot balance bill you nor<br />

ask you to give up your protections to be balanced billed.<br />

In these cases, the most the providers may bill you is your<br />

plan’s in-network cost-sharing amount.<br />

If you get other services at these in-network facilities,<br />

out-of-network providers can’t balance bill you, unless<br />

you give written consent and give up your protections.<br />

You’re never required to give up your protections from<br />

balance billing. You also aren’t required to get care outof-network.<br />

You can choose a provider or facility in your<br />

plan’s network.<br />

When balance billing isn’t allowed, you also<br />

have the following protections:<br />

• You are only responsible for paying your share of the<br />

cost (like the copayments, coinsurance and deductibles<br />

that you would pay if the provider or facility were<br />

in-network). Your health plan will pay out-of-network<br />

providers and facilities directly.<br />

• Your health plan generally must:<br />

– Cover emergency services without requiring<br />

you to get approval for services in advance<br />

(prior authorization).<br />

– Cover emergency services by out-ofnetwork<br />

providers.<br />

– Base what you owe the provider or facility<br />

(cost-sharing) on what it would pay an in-network<br />

provider or facility and show that amount in your<br />

explanation of benefits.<br />

– Count any amount you pay for emergency services or<br />

out-of-network services toward your deductible and<br />

out-of-pocket limit.<br />

If you believe you’ve been wrongly billed, you may<br />

contact us at the customer service phone number<br />

on the back of your health plan member ID card.<br />

14 WINTER <strong>2022</strong>


· View plan information at a glance<br />

· Access your claims history<br />

· Track your claim status<br />

· View and transmit your ID cards<br />

· Find in-network providers and add to favorites<br />

· Access your personal health record<br />

· And more!<br />

<strong>Blueprint</strong> Portal -<br />

A new and improved web and mobile app<br />

experience for our members.<br />

WINTER <strong>2022</strong><br />

EDITOR<br />

Jen Bridgeman<br />

Editor@arkbluecross.com<br />

DESIGNER<br />

Ryan Kravitz<br />

PHOTOGRAPHER<br />

Chip Bayer<br />

CONTRIBUTORS<br />

Roza Bost<br />

Katie Eisenhower<br />

Suzi Parker<br />

Greg Russell<br />

Marie Trotter<br />

VICE PRESIDENT<br />

of CORPORATE<br />

MARKETING<br />

Alison Melson<br />

MEDICAL<br />

REVIEWERS<br />

Mark Jansen, M.D.,<br />

vice president and<br />

chief medical officer<br />

Creshelle Nash,<br />

M.D., MPH<br />

medical director<br />

for Health Equity<br />

and Public Programs<br />

WINTER <strong>2022</strong> 15


Race Day Rollbacks<br />

Save money on your next race-day adventure<br />

Arkansas Blue Cross is committed to<br />

improving the health and wellness of our<br />

members, friends and neighbors. We’re also<br />

committed to saving you money on healthy<br />

living. Race Day Rollbacks is our exclusive<br />

program to save you a percentage of your<br />

race entry fee -- just by being our member.<br />

Events<br />

• January 22 – David’s Trail Endurance Run, Mountain Home | 50k, 25k, 7k | Save 20%<br />

• January 22 – Frozen Toes, Fayetteville | 15k, 5k | Save $5<br />

• March 5 – Ozark Highlands, Norfolk | 50k, 35k | Save 20%<br />

• March 12 – Endure the Dirt, Stuttgart | Competitive and non competitive 5ks | Save $10<br />

• March 18-20 – Three Days of Syllamo, Blanchard Springs | 50k, 50mile, 20k | Save 20%<br />

Registration<br />

is easy<br />

1) Go to arkbluecross.com/race-day-rollbacks<br />

2) Click on an event to get a discount code<br />

3) Go to the event website, fill out the registration form and enter the discount<br />

code at checkout<br />

4) Start training for your event (with a little extra money in your pocket)<br />

00002.03.01-0122<br />

Good luck and see you out there! Terms and conditions may apply.

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